Is it important to find cervical fluid accumulation during gynecological examination?

The severity of cervical canal effusion discovered during gynecological examination needs to be judged based on specific circumstances. In most cases, it is a physiological change that does not require excessive concern, but if accompanied by abnormal symptoms, it may indicate pathological problems. Cervical canal effusion is more common during ovulation or before and after menstruation, and is related to the accumulation of cervical glandular secretions. At this time, the liquid is usually transparent or light yellow, odorless, and gynecological examination shows a smooth surface of the cervix. Ultrasound shows a small amount of fluid accumulation and no other abnormal structures. Some women may also experience physiological cervical canal effusion in early pregnancy, which is related to changes in hormone levels. This type of situation generally does not require special treatment, and it is recommended to regularly review and observe changes in fluid accumulation.

If the cervical canal effusion is purulent, bloody or accompanied with odor, it may indicate infectious diseases such as cervicitis and endometritis. Chronic cervicitis may lead to blockage of the cervical gland opening, forming a Nabothian cyst. Ultrasound examination shows local dilation of the cervical canal. Patients with endometriosis may experience periodic hemorrhagic fluid accumulation. Cervical abscess is often accompanied by acute inflammatory symptoms such as fever and lower abdominal pain, and the risk of pelvic abscess should be monitored. For postmenopausal women with cervical canal effusion, the possibility of cervical canal adhesion or tumor lesions should be ruled out.

It is recommended to complete routine vaginal discharge, cervical TCT and HPV testing after discovering cervical canal effusion, and perform hysteroscopy if necessary. Keep the external genitalia clean and dry in daily life, avoid frequent vaginal flushing, and pay attention to hygiene and protection during sexual intercourse. When abnormal vaginal discharge, contact bleeding, or lower abdominal bloating occurs, timely medical attention should be sought from the gynecology department, and the doctor should evaluate whether anti infective treatment or further intervention is needed.